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Feasibility of a Novel Virtual Tic Tool Kit Therapy Group
Developmental Medicine and Child Neurology ; 65(Supplement 1):61.0, 2023.
Article in English | EMBASE | ID: covidwho-2234053
ABSTRACT
Behavioural therapy is the main form of symptomology management for tics, such as Exposure Response Prevention (ERP) and Habit Reversal Therapy (HRT), and is typically administered in person. Due to challenges presented by COVID-19, this was no longer possible, raising questions surrounding the effectiveness of alternative delivery methods. The current study assesses the efficacy of virtually delivered tic therapy in a group setting. Delivered by the Tics and Neurodevelopmental Movements Service (TANDeM) at the Evelina London Children's Hospital, combined ERP and HRT delivered virtually with externalised attention strategies is a pioneering combination and has not yet been explored. Method(s) Sixteen TANDeM patients attended a six-session virtual tic therapy group, each lasting 1 h. The Yale Global Tic Severity Scale (YGTSS) was completed for all patients prior to and following the group, and qualitative feedback was also gathered post-hoc regarding satisfaction and acceptability of the management techniques. Results and Conclusion(s) Patients' post-group YGTSS scores showed a statistically significant improvement compared to pre group scores, and all patients reported better management of tics after having attended the virtual group. 91.6% of attendees returned positive feedback for the virtual aspect, such as it being 'more accessible', and availability of 11 practice with clinicians. Twelve of 16 attendees reported learning combined ERP and HRT to manage their tics was the main attraction of the group. The cost-effective virtual group produced a significant improvement in patient outcome, suggesting it is an effective way of delivering tic therapy. The significant difference between pre-and post-group YGTSS scores provides a preliminary basis for delivering combined ERP and HRT alongside externalised attention strategies.
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Full text: Available Collection: Databases of international organizations Database: EMBASE Type of study: Experimental Studies / Prognostic study / Qualitative research Topics: Long Covid Language: English Journal: Developmental Medicine and Child Neurology Year: 2023 Document Type: Article

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Full text: Available Collection: Databases of international organizations Database: EMBASE Type of study: Experimental Studies / Prognostic study / Qualitative research Topics: Long Covid Language: English Journal: Developmental Medicine and Child Neurology Year: 2023 Document Type: Article